across Russia on April 13, deployed only about 40 thousand beds in hospitals to treat coronavirus patients. Only by the end of April the total number was expected to increase to 95 thousand, reported to the President of Russia Vladimir Putin, Deputy Prime Minister Tatiana Golikova
the Press service of the President of Russia the opening of the coronavirus hospital on the basis of the Moscow city clinical hospital No. 31
Photo: Denis Grishkin / Press service of the Mayor and Government of Moscow
across Russia on April 13, deployed only about 40 thousand beds in hospitals to treat coronavirus patients. Only by the end of April the total number was expected to increase to 95 thousand, reported to the President of Russia Vladimir Putin, Deputy Prime Minister Tatiana Golikova at the next meeting on the sanitary-epidemiological situation in the country.
to understand how small these numbers are, simply refer to the official statistice from open sources.
this General “potential” number of 95 thousand patients need to deduct about 30 thousand beds, which for “davidnyc” patients were allocated in Moscow. In early April, Deputy mayor of Moscow on issues of social development Anastasia Rakova said about the total number of 20 thousand beds, but the day before announced that until the end of April will allocate up to 10 thousand beds. Now in Moscow for patients with coronavirus has 29 hospitals in the Federal, municipal and private clinics.
But given the sharp increase in the number sick (the end of the previous week in hospitals of Moscow there were about 7 thousand patients with pneumonia as the result COVID-19), by the end of April all the places in Moscow hospitals can be busy. Not to mention the fact that everyone else is waiting for the 84 region of Russia, because of all the sick beds there will be only two times more than in Moscow. And the authorities recognize that the situation is not optimistic.
in addition, not all of these promised 95 thousand beds are intensive care beds equipped with artificial lung ventilation (ALV) or even equipped with oxygen. “The percentage of intensive care beds should be at least 30% of the total number of beds should be 70% equipped with oxygen,” – said Minister of health Michael Murashko. That is, a ventilator is provided for approximately 32 thousand beds.
Even if you take all of the existing and operating in Russia IVL-only service “davidnyc” patients, the apparatus is still not enough. By the end of March, which published the portal “Medvednik” in the Russian medical institutions had a total of about 43 thousand ventilators. And this figure is likely to include a ventilator to transport sick, and they can not be used for around the clock care. According to others, in Russian intensive care units and intensive care there are only about 35 thousand of the ventilator. At the end of mAmouth the Russian government has allocated 7.5 billion rubles. for the purchase of 5.7 thousand a ventilator and ecmo, but the supply of these devices in the best case will not begin before may.
As stated earlier, the head of the Ministry of health, you can deploy hundreds of thousands of beds on stadiums, skating rinks, tents in parks, but it will just be beds. And as if doctors between them either ran to help patients, they will not.
the government assured that the Russian regions in the 3-4 weeks behind Moscow and Moscow region on the incidence of coronavirus, so there’s still time to “actively prepare bedspace”. But given that on average each day the number of infected in Moscow increased by 25-30%, hospitals and ambulances are at the limit, and a plateau in the incidence of Russia isn’t even out yet, it is not difficult to imagine what kind of “severe test” await us in the next two to three weeks.
And here everyone goes around comes around “optimization” of health, which was conducted in Russia in recent years. The reform of health between 2000 and 2015 in the country have been closed more than 5,000 hospitals recognized as “ineffective” – their number decreased from 10.7 to 5.4 thousand thousand From Soviet times 2.4 times reduction in the number of beds infectious profile – from 140 thousand in 1990 to 59 thousand by 2019-mu. Infectious diseases in comparison with 2011 decreased by 10% – now in Russia there are only about 7 thousand.
According to Rosstat, from 2013 to 2019, the number of younger workers has decreased 2.6 times, up to 265 thousand people, the average staff – by 9.3% to 1,314 million, of doctors by 2% to 704 thousand people. In primary care simply a “failure,” he said in August last year, Russian President Vladimir Putin.
the Total number of beds in hospitals of Moscow to the end of 2019, made up 46807 beds. For comparison, in 2013 there were more than 120 thousand patients, that is, in six years their number has been reduced three times in order to “optimize” and “structural change”. This means that highlighting is now in emergency mode 30 thousand beds for patients with coronavirus, the health care of Moscow, pureprofile space reserved for other patients who also require urgent assistance and medical ventilators, machines and ecmo (extracorporeal membrane oxygenation). These patients have not gone away, but in help they have to deny.
Now, according to President Putin, likely to combat the coronavirus have to use the tools and beds of the Ministry of defence of the Russian Federation, which are accounted for separately from health care costs. To such decisions, again pushing numbers and the sad experience of other States.
In Russia to increase the number of infected from 1000 to 10 000 people took 12 days. And the threshold from 10 000 to 100 000 patients to five countries jumped to an average of 15-18 days. Once this threshold is passed in Russia (this may be just the end of April), the health system will no longer cope, will collapse. The Minister of health of Michael Murashko warned yesterday that only rigid quarantine, blocking any activity of citizens, but “it is of a different order of steps,” which are still in Russia are not entered.